Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013
- PMID: 30140130
- PMCID: PMC6104139
- DOI: 10.1016/j.jor.2018.08.006
Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013
Abstract
Objective: Few have compared short-term outcomes following knee dislocations with or without concomitant popliteal artery disruption (PAD).
Methods: The Nationwide Inpatient Sample was used to identify 2175 patients admitted for knee dislocation from 2005 to 2013 (concomitant PAD: n = 210/9.7%; without: n = 1965/90.3%).
Results: Patients with PAD were younger, more often male, Black and Hispanic, and with Medicaid (all p ≤ 0.013). PADs were associated with 11.0-times higher odds of increased LOS (95%CI, 6.6-18.4) and 2.8-times higher odds of experiencing any complication (95%CI, 2.03-3.92). Female sex was a protective factor against increased LOS, (OR = 0.65; 95%CI, 0.48-0.88).
Conclusion: High suspicion index should be maintained for concomitant vascular injuries following knee dislocations.
Keywords: Charges; Complications; Knee dislocation; Length of stay; Nationwide analysis; Popliteal artery disruption.
Figures
Similar articles
-
[Traumatic knee dislocation with popliteal vascular disruption: retrospective study of 14 cases].Rev Chir Orthop Reparatrice Appar Mot. 2006 Dec;92(8):768-77. doi: 10.1016/s0035-1040(06)75945-1. Rev Chir Orthop Reparatrice Appar Mot. 2006. PMID: 17245236 French.
-
Incidence and Outcome of Popliteal Artery Injury Associated with Knee Dislocations, Ligamentous Injuries, and Close to Knee Fractures: A Nationwide Population Based Cohort Study.Eur J Vasc Endovasc Surg. 2021 Feb;61(2):297-304. doi: 10.1016/j.ejvs.2020.10.017. Epub 2020 Dec 7. Eur J Vasc Endovasc Surg. 2021. PMID: 33303313
-
Incidence of knee dislocation and concomitant vascular injury requiring surgery: a nationwide study.J Trauma Acute Care Surg. 2014 Mar;76(3):715-9. doi: 10.1097/TA.0000000000000136. J Trauma Acute Care Surg. 2014. PMID: 24553539
-
Popliteal artery injury associated with total knee arthroplasty: trends, costs and risk factors.J Arthroplasty. 2014 Jun;29(6):1181-4. doi: 10.1016/j.arth.2014.01.007. Epub 2014 Jan 15. J Arthroplasty. 2014. PMID: 24556111 Review.
-
Complete dislocation of the knee without disruption of both cruciate ligaments.J Trauma. 1993 Mar;34(3):383-9. doi: 10.1097/00005373-199303000-00013. J Trauma. 1993. PMID: 8483179 Review.
Cited by
-
A pilot study on the efficacy of GPT-4 in providing orthopedic treatment recommendations from MRI reports.Sci Rep. 2023 Nov 17;13(1):20159. doi: 10.1038/s41598-023-47500-2. Sci Rep. 2023. PMID: 37978240 Free PMC article.
-
Surgical Implications of the Arterial Anatomy around the Knee: A Cadaveric Pictorial Essay.Diagnostics (Basel). 2021 Oct 28;11(11):2004. doi: 10.3390/diagnostics11112004. Diagnostics (Basel). 2021. PMID: 34829351 Free PMC article.
-
Technology Update in Management of Multi-Ligament Knee Injuries.Indian J Orthop. 2024 Oct 24;58(11):1537-1547. doi: 10.1007/s43465-024-01281-6. eCollection 2024 Nov. Indian J Orthop. 2024. PMID: 39539335 Review.
-
Five-year outcomes of trauma-specific function in patients after acute blunt popliteal artery injury: a matched cohort analysis.J Orthop Surg Res. 2022 May 7;17(1):256. doi: 10.1186/s13018-022-03145-x. J Orthop Surg Res. 2022. PMID: 35525991 Free PMC article.
-
Knee dislocations and associated fractures: risk factors for surgical reduction.Arch Orthop Trauma Surg. 2024 Jul;144(7):3011-3015. doi: 10.1007/s00402-024-05407-1. Epub 2024 Jun 27. Arch Orthop Trauma Surg. 2024. PMID: 38935141
References
-
- Clarke H., Scott W., Insall J., Al E. Anatomy. In: Insall J., Scott W., editors. Surgery of the Knee. third ed. Churchill Livingstone; New York, NY: 2001. pp. 13–76.
-
- Borden P., Johnson D. Initial assessment of the acute and chronic multiple ligament-injured knee. Sports Med Arthrosc. 2001;9(3):178–184.
-
- Bratt H.D., Newman A.P. Complete dislocation of the knee without disruption of both cruciate ligaments. J Trauma. 1993;34(3):383–389. http://www.ncbi.nlm.nih.gov/pubmed/8483179 - PubMed
-
- Stannard J., Schenck R., Fanelli G. Rockwood and Green's Fractures in Adults. seventh ed. Lippincott, Williams & Wilkins; Philadelphia, PA: 2010. Knee dislocations and fracture-dislocations.
-
- Twaddle B.C., Bidwell T.A., Chapman J.R. Knee dislocations: where are the lesions? A prospective evaluation of surgical findings in 63 cases. J Orthop Trauma. 2003;17(3):198–202. http://www.ncbi.nlm.nih.gov/pubmed/12621261 - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources